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The bleeding gastric ulcer - will it bleed again, and if so, why

dc.contributor.authorShuttleworth, R. D.en_ZA
dc.contributor.authorFalck, V. G.en_ZA
dc.date.accessioned2011-03-18T14:57:38Z
dc.date.available2011-03-18T14:57:38Z
dc.date.issued1984-07
dc.identifier.citationShuttleworth, R.D. & Falck, V.G. 1984. The bleeding gastric ulcer - will it bleed again, and if so, why. A case for repeat endoscopy in evaluating stigmata. S Afr Med J, 66:95-97.en_ZA
dc.identifier.issn2078-5135 (online)
dc.identifier.issn0256-9574 (print)
dc.identifier.urihttp://hdl.handle.net/10019.1/7554
dc.descriptionCITATION: Shuttleworth, R.D. & Falck, V.G. 1984. The bleeding gastric ulcer - will it bleed again, and if so, why. A case for repeat endoscopy in evaluating stigmata. S Afr Med J, 66:95-97.en_ZA
dc.descriptionThe original publication is available at http://www.samj.org.zaen_ZA
dc.description.abstractNine patients qualified for surgery for a bleeding gastric ulcer - all had a 'visible vessel'. Three of these vessels were thrombosed including 2 in patients who had been in shock. The smallest patent vessel was 0,35 mm in diameter, and 6 of the bleeding vessels were subserosal. The features thought to predispose to further bleeding were vessel size, a lateral hole in the main trunk of the vessel and, possibly, previous recanalization or ingestion of a drug which affected haemostasis. Five of 6 patent arteries had a cap of thrombus over the breach forming a false aneurysm. It is suggested that clinically these should pulsate, enlarge, leak - with persistent fresh thrombus in the ulcer crater on repeat endoscopy - and finally rupture. Where the underlying vessel is thrombosed the stigmata of a non-pulsatile 'visible vessel' or thrombus in the ulcer should disappear on repeat endoscopy. The sizes of the arteries in the normal antrum are tabulated.en_ZA
dc.language.isoen
dc.publisherHealth & Medical Publishing Groupen_ZA
dc.subjectbleeding ulcer; gastric ulceren_ZA
dc.subjectulcer; endoscopyen_ZA
dc.subjectgastroscopyen_ZA
dc.titleThe bleeding gastric ulcer - will it bleed again, and if so, whyen_ZA
dc.typeArticle
dc.description.versionPublisher’s versionen_ZA
dc.rights.holderSouth African Medical Journalen_ZA


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